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TEST BANK FOR MEDICAL SURGICAL NURSING9TH EDITION IGNATAVICIUS
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  • Medical Surgical Nursing (MEDSURG)
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  • Chamberlain College Of Nursing

TEST BANK FOR MEDICAL SURGICAL NURSING9TH EDITION IGNATAVICIUS Chapter 01: Overview of Professional Nursing Concepts for Medical- Surgical Nursing MULTIPLE CHOICE 1. A nurse wishes to provide client-centered care in all interactions. Which action by the nurse best demonstrates this concept? ...

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  • February 22, 2022
  • 228
  • 2021/2022
  • Exam (elaborations)
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  • test bank for medical surgical nursing9th edition ignatavicius
  • chapter 01 overview of professional nursing concepts for medical surgical nursing
  • a nurse wishes to provide client centered care in all

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  • Chamberlain College Of Nursing
  • Medical Surgical Nursing (MEDSURG)
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Chapter 01: Overview of Professional Nursing Concepts for Medical- Surgical Nursing

MULTIPLE CHOICE

1. A nurse wishes to provide client-centered care in all interactions. Which action by the nurse best
demonstrates this concept?



a. Assesses for cultural influences affecting health care b. Ensures that all the clients basic needs are
met c. Tells the client and family about all upcoming tests d. Thoroughly orients the client and family to
the room

ANS: A




2. A nurse is caring for a postoperative client on the surgical unit. The clients blood pressure was 142/76
mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action by the nurse is best?

a. Call the Rapid Response Team. b. Document and continue to monitor. c. Notify the primary care
provider. d. Repeat blood pressure measurement in 15 minutes.

ANS: A

3. A nurse is orienting a new client and family to the inpatient unit. What information does the nurse
provide to help the client promote his or her own safety?

a. Encourage the client and family to be active partners. b. Have the client monitor hand hygiene in
caregivers. c. Offer the family the opportunity to stay with the client. d. Tell the client to always wear his
or her armband.

ANS: A

4. A new nurse is working with a preceptor on an inpatient medical-surgical unit. The preceptor advises
the student that which is the priority when working as a professional nurse? a. Attending to holistic
client needs b. Ensuring client safety c. Not making medication errors d. Providing client-focused care

ANS: B



5. A client is going to be admitted for a scheduled surgical procedure. Which action does the nurse
explain is the most important thing the client can do to protect against errors?

a. Bring a list of all medications and what they are for. b. Keep the doctors phone number by the
telephone. c. Make sure all providers wash hands before entering the room. d. Write down the name of
each caregiver who comes in the room.

ANS: A

,6. Which action by the nurse working with a client best demonstrates respect for autonomy?

a. Asks if the client has questions before signing a consent b. Gives the client accurate information
when questioned c. Keeps the promises made to the client and family d. Treats the client fairly compared
to other clients

ANS: A

7. A student nurse asks the faculty to explain best practices when communicating with a person from the
lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ) community. What answer by the
faculty is most accurate?

a. Avoid embarrassing the client by asking questions.

b. Dont make assumptions about their health needs. c. Most LGBTQ people do not want to share
information.



d. No differences exist in communicating with this population.

ANS: B

8. A nurse is calling the on-call physician about a client who had a hysterectomy 2 days ago and has pain
that is unrelieved by the prescribed narcotic pain medication. Which statement is part of the SBAR
format for communication? a. A: I would like you to order a different pain medication. b. B: This client
has allergies to morphine and codeine. c. R: Dr. Smith doesnt like nonsteroidal anti-inflammatory meds.
d. S: This client had a vaginal hysterectomy 2 days ago.

ANS: B

9. A nurse working on a cardiac unit delegated taking vital signs to an experienced unlicensed assistive
personnel (UAP). Four hours later, the nurse notes the clients blood pressure is much higher than
previous readings, and the clients mental status has changed. What action by the nurse would most
likely have prevented this negative outcome? a. Determining if the UAP knew how to take blood pressure
b. Double-checking the UAP by taking another blood pressure c. Providing more appropriate supervision
of the UAP d. Taking the blood pressure instead of delegating the task

ANS: C

10. A nurse is talking with a client who is moving to a new state and needs to find a new doctor and
hospital there. What advice by the nurse is best?

Test Bank - Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care 9e 6

a. Ask the hospitals there about standard nurse-client ratios. b. Choose the hospital that has the newest
technology. c. Find a hospital that is accredited by The Joint Commission. d. Use a facility affiliated with a
medical or nursing school.

ANS: C

,11. A newly graduated nurse in the hospital states that, since she is so new, she cannot participate in
quality improvement (QI) projects. What response by the precepting nurse is best? a. All staff nurses are
required to participate in quality improvement here. b. Even being new, you can implement activities
designed to improve care. c. Its easy to identify what indicators should be used to measure quality. d.
You should ask to be assigned to the research and quality committee.

ANS:

MULTIPLE RESPONSE

1. A nurse is interested in making interdisciplinary work a high priority. Which actions by the nurse best
demonstrate this skill? (Select all that apply.) a. Consults with other disciplines on client care b.
Coordinates discharge planning for home safety c. Participates in comprehensive client rounding d.
Routinely asks other disciplines about client progress e. Shows the nursing care plans to other disciplines

ANS: A, B, C, D

2. A nurse manager wishes to ensure that the nurses on the unit are practicing at their highest levels of
competency. Which areas should the manager assess to determine if the nursing staff demonstrate
competency according to the Institute of Medicine (IOM) report Health Professions Education: A Bridge
to Quality? (Select all that apply.)

a. Collaborating with an interdisciplinary team b. Implementing evidence-based care c. Providing family-
focused care d. Routinely using informatics in practice e. Using quality improvement in client care

ANS: A, B, D, E

3. The nurse utilizing evidence-based practice (EBP) considers which factors when planning care? (Select
all that apply.) a. Cost-saving measures b. Nurses expertise c. Client preferences d. Research findings e.
Values of the client

ANS: B, C, D, E

4. A nurse manager wants to improve hand-off communication among the staff. What actions by the
manager would best help achieve this goal? (Select all that apply.) a. Attend hand-off rounds to coach
and mentor. b. Conduct audits of staff using a new template. c. Create a template of topics to include in
report. d. Encourage staff to ask questions during hand-off. e. Give raises based on compliance with
reporting.

ANS: A, B, C, D

DIF: Applying/Application REF: 5 KEY: SHARE| hand-off communication MSC: Integrated Process: Nursing
Process: Intervention NOT: Client Needs Category: Safe and Effective Care Environment: Management of
Care

Chapter 02: Overview of Health Concepts for Medical-Surgical Nursing

MULTIPLE CHOICE

1. Acid-base balance occurs when the pH level of the blood is between: a. 7.3 and 7.5 b. 7.35 and 7.45 c.
7.4 and 7.5 d. 7.25 and 7.35

, ANS: B

2. The nurse would expect a patient with respiratory acidosis to have an excessive amount of a.
Hydrogen ions. b. Bicarbonate. c. Oxygen. d. Phosphate.

ANS: A

3. The best way for an individual to maintain acid-base balance is to a. avoid or quit smoking. b. exercise
regularly. c. eat healthy and well-balanced meals. d. All of the above.

ANS: D

4. The process to control cellular growth, replication, and differentiation to maintain homeostasis is
called: a. cellular regulation. b. cellular impairment. c. cellular reproduction. d. cellular tumor.

ANS: A

5. A defining characteristic of malignant (cancerous) cells is: a. they cannot spread to other tissues or
organs. b. they can invade healthy cells, tissues, and organs. c. they are not usually a health risk. d. none
of the above.

ANS: B

6. Specialized cells that circulate in the body to promote clotting are called: a. anticoagulants. b. proteins.
c. emboli. d. platelets.

ANS: D

7. An increase in platelet stickiness can lead to: a. hypercoagulability b. thromobocytopenia c. embolus
d. atrial fibrillation

ANS: A

8. Signs and symptoms of ________ thromobsis include localized redness, swelling, and warmth: a.
arterial

b. venous

c. partial d. atrial

ANS: B

9. A serious condition which is not locally observable and is typically manifested by decreased blood flow
to a distal extremity is known as __________ thrombosis. a. arterial b. venous c. partial d. atrial

ANS: A

10. A high-level thinking process that allows an individual to make decisions and judgments is known as:
a. amnesia b. personality c. reasoning d. memory

ANS: C

11. A form of inadequate cognition in older adults which is manifested by an acute, fluctuating
confusional state is known as: a. dementia b. delerium c. amnesia d. depression

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